Trial of anonymous versus confidential human immunodeficiency virus testing.
Lancet
; 2(8607): 379-82, 1988 Aug 13.
Article
em En
| MEDLINE
| ID: mdl-2899784
ABSTRACT
PIP: Before December, 1986, all public human immunodeficiency virus (HIV) testing in Oregon was done using names confidentially. Since December, clients have been offered the option of either anonymous or confidential testing. Clients choosing anonymous testing still received pre-test counseling, but were identified only by number. Demographic and risk factor data were collected, and a self administered questionnaire investigated opinions regarding anonymous testing. There was a sharp increase in the number of individuals seeking testing, from 363 first-time clients in the 3 1/2 months preceding anonymous testing to 1250 in the 3 1/2 months after the change (50% increase). 29% of clients indicated that they would not have come without anonymity, although 11% of these chose confidential testing. Of those who would have come without anonymity, 46% chose anonymity. This was most marked among homosexual men, 49% of whom would not have been tested without anonymity. Anonymous testing is strongly implicated as causing these changes, as there was no sharp increase in the number of people coming for testing in Colorado or California. Neither actual nor perceived antibody status was associated with the choice of anonymous or confidential testing. In the 3 1/2 months after anonymous testing was available 85 seropositive individuals were identified, versus 36 in the 3 1/2 months before. 95% of the client who tested positive after the change (81/85) were gay, and 48% (39/81) would not have come without anonymous testing. Thus, anonymous testing attracted homosexual men who would not have been tested confidentially and resulted in the identification of twice as many seropositive individuals as before.
Palavras-chave
Health Care and Public Health; Professional Patient Relationship; Americas; Behavior; Confidential Information; Developed Countries; Developing Countries; Diseases; Ethics; Examinations And Diagnoses; Health Services Administration--changes; Health Services Evaluation; Hiv Infections; Homosexuals; Laboratory Examinations And Diagnoses; Management; North America; Northern America; Oregon; Organization And Administration; Population At Risk; Program Acceptability; Program Evaluation; Programs; Research Methodology; Research Report; Sex Behavior; United States; Viral Diseases
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Soropositividade para HIV
/
Confidencialidade
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Evaluation_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Lancet
Ano de publicação:
1988
Tipo de documento:
Article
País de afiliação:
Geórgia